Gastroschisis

Torfs, Claudine P.; Curry, Cynthia J.; Roeper, Peter

doi:10.1016/s0022-3476(05)81637-3

Cited by 89 publications

(73 citation statements)

References 21 publications

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“…Reported levels of gastroschisis cases with multiple anomalies vary from 6% to 25% (Morrow et al 1993); (Fisher et al 1996); (Yang et al 1992); (Calzolari et al 1995); (Torfs et al 1990); (Byron-Scott et al 1998); (Calzolari et al 1993); (Roberts and Burge, 1990). These anomalies range from secondary associations such as intestinal atresia and cryptorchidism to unrelated anomalies including skeletal anomalies, encephalocele and in rare cases aneuploidy or amniotic band sequence.…”

Section: Introduction -Abdominal Wall Defectsmentioning

confidence: 99%

Recreational Drug Use: A Major Risk Factor for Gastroschisis?

Draper

Rankin

Tonks

et al. 2008

Obstetrical &Amp; Gynecological Survey

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Section: Introduction -Abdominal Wall Defectsmentioning

confidence: 99%

Recreational Drug Use: A Major Risk Factor for Gastroschisis?

Draper

Rankin

Tonks

et al. 2008

Obstetrical &Amp; Gynecological Survey

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“…[1][2][3] Gastroschisis occurs in approximately 1 to 2 in 10,000 births, 4 and an apparent increase in incidence, especially in young women, has recently been reported. 5 With widespread use of ultrasonography and maternal serum ␣-fetoprotein screening, an increasing number of fetuses with gastroschisis are antenatally diagnosed. Determining the optimal antenatal management in general and the mode of delivery in particular, are thus increasingly relevant.…”

Section: Introductionmentioning

confidence: 99%

“…These results may be helpful for patients with gastroschisis that consider a trial of labor. Elective CS (5) CS for fetal distress (9) CS for chorioamnionitis (2) Vaginal delivery (27) …”

mentioning

confidence: 99%

The Fetus With Gastroschisis Managed by a Trial of Labor: Antepartum and Intrapartum Complications

1999

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OBJECTIVE:To assess the rate of antepartum and intrapartum complications of fetuses with antenatally diagnosed gastroschisis managed in a center that advocates a trial of labor. STUDY DESIGN:A retrospective review. The medical records of 49 fetuses (1988 to 1997) who were prenatally diagnosed with gastroschisis by a sonologist in the Ultrasound Genetic Unit, Department of Obstetrics and Gynecology at Washington University, were reviewed. RESULTS:Oligohydramnios and intrauterine growth restriction were diagnosed in 23% and 49% of the pregnancies, respectively. A total of 22 women underwent induction of labor: nine for nonreassuring fetal testing, four for premature rupture of membranes, five for marked bowel dilatation, one for preeclampsia, and three for other reasons. Cesarean section (CS) was performed in 16 of 43 (37%) of women. The indications for CS were fetal distress (9 of 16 women), chorioamnionitis (2 of 16 women), breech presentation (3 of 16 women), and physician discretion (2 of 16 women). No significant differences in Apgar scores were observed between the fetuses. Fetuses who were delivered by CS for fetal distress were more likely to have undergone an induction of labor (91% versus 44%), and they were smaller than fetuses with no evidence of fetal distress (2220 Ϯ 105 gm versus 2613 Ϯ 80 gm, p Ͻ 0.05). CONCLUSION:The incidence of antepartum and intrapartum complications in fetuses with gastroschisis is high. The rate of CS can reach 37%. These data may aid clinicians in counseling patients with gastroschisis.

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“…Proper classification of abdominal wall defects is often challenging [25]. Although the diagnoses of abdominal wall defects were made by qualified neonatologists and verified by 2 clinical geneticists, we recognized that in some cases false positive reports might have occurred (e.g., classifying a ruptured omphalocele as gastroschisis).…”

Section: Discussionmentioning

confidence: 96%

Geospatial clustering of gastroschisis in Poland: Data from the Polish Registry of Congenital Malformations (PRCM)

Materna‐Kiryluk¹,

Więckowska²,

Wiśniewska³

et al. 2015

Int J Occup Med Environ Health

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Objectives: The aims of this study were: to evaluate the prevalence of abdominal wall defects in the Polish population, to analyze temporal trends in the prevalence, to identify areas (clusters) of high risk of abdominal wall defects, and to characterize, with respect to epidemiology, children with abdominal wall defects and their mothers in the area defined as a cluster. Material and Methods: We used isolated congenital malformations (gastroschisis Q79.3 and omphalocele Q79.2 according to the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10, the extended version)) data reported to the Polish Registry of Congenital Malformations (PRCM) over the years 1998-2008 based on the population of 2 362 502 live births. We analyzed 11 administrative regions of Poland with complete epidemiologic data. Results: Of 11 regions, 2 had a significantly higher standardized prevalence of isolated gastroschisis: Dolnośląskie (1.7/10 000 live births, p = 0.0052) and Śląskie (1.9/10 000 live births, p < 0.0001). Furthermore, within the region of Dolnośląskie, we defined a clear prevalence of the isolated gastroschisis cluster (p = 0.023). We comprehensively examined demographic and socio-economic risk factors for abdominal wall defects in this area, and we found that these factors failed to account for the cluster. Conclusions: We identified a distinct prevalence cluster for isolated gastroschisis, although a precise reason for the disease clustering in this region remains unknown. Cluster identification enables more focused research aimed at identification of specific factors with teratogenic effects.

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Gastroschisis

Cited by 89 publications

References 21 publications

Recreational Drug Use: A Major Risk Factor for Gastroschisis?

Recreational Drug Use: A Major Risk Factor for Gastroschisis?

The Fetus With Gastroschisis Managed by a Trial of Labor: Antepartum and Intrapartum Complications

Geospatial clustering of gastroschisis in Poland: Data from the Polish Registry of Congenital Malformations (PRCM)

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